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Using the Electronic Medical Record to Identify Patients at High Risk for Frequent Emergency Department Visits and High System Costs

A small proportion of patients account for a high proportion of healthcare use. Accurate preemptive identification may facilitate tailored intervention. We sought to determine whether machine learning techniques using text from a family practice electronic medical record can be used to predict future high emergency department use and total costs by patients who are not […]

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Best Practice Advisories Should Not Replace Good Clinical Acumen

Electronic medical records (EMR) have revolutionized clinical practice. They facilitate documentation, improve communication and coordination of care among medical providers, and afford a manner of communication for patients, as well as provide a platform for the storage of large quantities of clinical data. Several of these qualities, in addition to federal incentives for their use, […]

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Sampling of Electronic Medical Records Predicts Hospital Mortality

  Validated system for monitoring electronic health records in real time predicts patients at a higher risk for mortality, according to new report published in The American Journal of Medicine Hospitalized patients can deteriorate quickly, requiring prompt identification and treatment, especially since each hour of treatment delay can increase the risk of mortality. In a […]

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Crowd-Sourcing Syncope Diagnosis: Mobile Smartphone ECG Apps

A 76-year-old gentleman with a history of hypertension, on low-dose lisinopril, had a witnessed syncopal episode. He fainted from a standing position with no prodrome. He was unresponsive for 15 seconds without epileptiform activity or loss of sphincter control. He quickly regained consciousness with mild disorientation, without additional symptoms or focal deficits. A cardiologist at […]

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Utility of Electronic Notifications

Notifications Received by Primary Care Practitioners in Electronic Health Records: A Taxonomy and Time Analysis Primary care providers receive large numbers and types of asynchronous electronic medical alerts daily and spend an estimated 50 minutes of daily non-face-to-face time processing them. Abstract Background Asynchronous electronic health record (EHR)-based alerts used to notify practitioners via an […]

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HITECH, Electronic Health Records, and Facebook: A Health Information Trifecta

In enacting the Health Information Technology for Economic and Clinical Health (HITECH) Act, the Obama administration has devoted unparalleled resources to incentivize “the adoption and meaningful use of health information technology.” One important reason for this revolutionary legislation is the notion that information technology can improve health safety, quality, and efficiency. The vehicle of this […]

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